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European Journal of Dermatology

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Staphylococcal scalded skin syndrome with prosthetic valve endocarditis Volume 10, issue 8, December 2000

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Authors
Division of Dermatology, Yamagata Prefectural Nihon-kai Hospital, Sakata, Yamagata, 998-8501, Japan.

We report staphylococcal scalded skin syndrome (SSSS) in a 67-year-old man. He showed diffuse erythema with erosion on his face and erythema with giant desquamation on his neck, axilla, genitalia, chest and abdomen 39 days after a coronary artery bypass graft and aortic valve replacement. He died of cardiac rupture caused by myocardial necrosis, and autopsy findings demonstrated prosthetic valve endocarditis due to a strain of exfoliative toxin-B producing methicillin-resistant Staphylococcus aureus. To the best of our knowledge, this is the first case of SSSS caused by prosthetic valve endocarditis.